Jacob Miceli
Jacob Miceli is a Registered Dietitian in Woodstock, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
907 Powers RdWoodstock, IL 60098-2701
Phone: (815) 276-9457
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 86419608 (IL) |
|---|
Record details
| NPI number | 1649029240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
| Mailing address | 907 Powers Rd, Woodstock, IL 60098-2701 |
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